CA2072575C

CA2072575C - Anticholinergic agents

Info

Publication number: CA2072575C
Application number: CA002072575A
Authority: CA
Inventors: David Alker; Peter Edward Cross
Original assignee: Pfizer Ltd
Current assignee: Pfizer Ltd
Priority date: 1990-01-06
Filing date: 1990-12-18
Publication date: 2000-08-08
Anticipated expiration: 2010-12-18
Also published as: EP0511222B1; PT96422B; FI97131C; FI922835A0; JPH05501882A; EP0511222A1; GR3014927T3; IE910021A1; DK0511222T3; PT96422A; IE64206B1; DE69014903D1; DE69014903T2; ATE115130T1; ES2065668T3; WO1991010651A1; JPH0730019B2; CA2072575A1; FI97131B; GB9000305D0

Abstract

Selective muscarinic receptor antagonists of formula (I), wherein R1 and R2 are both optionally substituted phenyl, the broken line is an optional bond, X is (a), (b) or CH- when the double bond is absent or is (c) when the double bond is present, X being attached to a carbon atom of A, A is selected from certain piperidine and pyrrolidine groups, n is 1 to 3 and R3 is optionally substituted phenyl or thienyl, pyridyl or pyrazinyl.

Description

WO 91/10651 PCT/EP90/02~62 ~ Op'~~ 2 ~ °7 5 Anticholin is Agents This invention relates to certain disubstituted piperidine and pyrrolidine derivatives as selective na~scarinic receptor antagonists.
GB-780,027 discloses, amongst other oc~npounds, 3-(benzhydryloxy)- and 3-(xanthyloxy)-N-axal.kylpiperidines as oxytocic agents, being devoid of antispasmodic activity at the therapeutic doses employed. No N-pnenethyl substituted examples were synthesised or exemplified within the scope.
US-2,974,146 provides N-aralkyl-3 piperidyl benzhydryl ethers having activity as sedatives and in prolonging the hypnotic effect of barbiturates, with only the oorresporyding quaternary ammoniwn salts being stated to possess gastro-intestinal antispasmodic activity. Although N~henethyl-3 piperidyl benzhydryl ether is listed as "a specific vend provided by the invention", no preparative details or pharmacological data are presented and it is clear that the was never actually made.
US Patent 4632925 describes N-substidiphenyl-piperidines which exhibit insulin-lvwexing activity.
It has now une~~ectedly been discovered that the substituted piperidine arri pyrrolidine derivatives provided by the present invention are irn~.scarinic receptor antagonists which are selective for smooth ~rnuscle muscarinic sites over cardiac muscarinic sites and which do not have any significant antihistaminic activity.
Thus the founds are useful in the treatment of ds ~~~c associated with altered motility and/or tone of smooth muscle which can, for example, be foum3 in the gut, trachea and bladder.

X0'7:2575 Such diseases include irritable bowel syndrnane, diverticular disease, urinary incontinence, oesphageal achalasia and chronic destructive airways disease.
Accorriiryg to one aspect of the invention, there are provided oca~o~ux~s of the formula (I) X _ A - ( ---z ) ri 3 R
(I) and their oeutically aooeptable salts, wherein R1 and R2 are the same or different and each is phenyl which is unsubstituted or substituted by at least one group selected frcxn Cl-C4 alkyl and halo, the broken line represents an optional double bond and X is ~ oDH, ~ SiOH- or , CH- when said double bond is absent or is ~ C-when said double bond is present, X being attached to a carbon atcan of A, A is t )p -(L:H2)r. N -(CHZ)q ~-or -CH2 '-when said double bond is absent or A is ~)P
=CH-(CH2)m-1 N
I
=CH N-' -~N
=CH ~ N
or when said double boil is present n is frn~n 1 to 3, m is 1 or 2, p is 0 or l, q is 0 or 1 R3 is O R or Het, R
R4 and R5 are each gently H, C1~4 alkyl, C1-C4 alkoxy or (Cti2) rOH wherein r is 0, 1 or 2, or R4 and R5 together form a Y- ( Cf-IZ ) S Z- grcx~ wherein Y and Z are ir~deperriently -~ or -CE-i2 _ and s is 1, 2 or 3, and Het is thienyl, pyridyl or pyrazinyl, with the provisos that when q is O or A is N then n is 2 or 3, and that when A is ~H N- or -CH2 N - then R3 is not Het.

20'72575 4 In the above definitions "thienyl" includes 2- and 3-thienyl and pyridyl includes 2-, 3- and 4- pyridyl. "Halo" means F, C1, Br or I. Alkyl amd alkoxy gds of 3 or more carbon atoms may be straight or bzarx~ed-drain. The preferred alkyl and alkoxy g are methyl, ethyl, methoxy and ethoxy.
R1 and R2 may b~ unsubstituted phenyl. X is preferably ~C(OH)-. Preferied examples of R3 are pyridyl, 2,3-~dihydm-benzofuranyl, 3,4 methylenedioxyp~henyl, tolyl, methoxyphenyl and hydroxymethylphenyl.
A particularly preferred oamp~ is 3-(dipnenylhydroxy-methyl)-1-(3,4 methylenedioxyphenethyl)piperidine.
The oomp~r~ds of the formula (I) contain at least one asymmetric centre and will therefore exist as a pair of enanticmere or diasterecaneric pairs of enantiomers. S~rh enantiomers or diastereomeric pairs of enantiomers may be resolved by physical methods, e.g. by fractional r~ystallisation, chrcenatography or H.P.L.C. of a rao~nic mixture of the found of the fonrnula (I), or of a suitable salt or derivative thereof.
Most preferably, the individual enantiomers of the comno~ds of the formula (I) containing one asynanetric centre are prepared fmm optically pure intiates.
The pharmaceutically acceptable salts of the compo~ur3.s of formula (I) include acid addition salts such as the hydrochloride, hydrobrnanide, sulphate or bisulphate, phosphate or hydrogen phosphate, acetate, besylate, citrate, ftunarate, gluconate, lactate, maleate, mesylate, succinate and tart-xate salts. For a more comprehensive list of pharmaceutically acceptable salts see, 2072~,7~
for example, the JourrEal of Pharmaceutical Scien~oes, Vol. 66, No.
1, January 1977, pages 1-19. ~e salts can be prepared conventionally, e.g. by mixing a solution of the free base and the acid in a suitable solvent, e.g. ethanol, and reoavering the acid addition salt either as a precipitate, or by evaporation of the solution.
The o~qa~nds of the formula ( I ) can be prepared by a rnm~ber of , including the following:-Route A
This can be illustrated as follows:-E;~-~ 3; -A - la + Q(CEi2)nR3 ~ ComDOUnd I
(II) (III) R1, R2, A, X, n and R3 are as defined for fornaila (I) arxi Q
is a leaving g~, e.g. Br, Cl, I, C1-C4 al3t~anesulphonyloxy (e. g.
methar~esulp~honyloxy) , benzen~lphonyloxy, toluenesulphonyloxy (e.g. p-toluenesulrphrn~yloxy) or trifluoranethanesulptwnyloxy.
Preferably, Q is Cl, Br, I or methar~esulphonyloxy. In formula ( II ) the hydrogen ata~n shoran is attached to the nitrogen atoan of A.
The reaction is preferably carried out in the pr~esenoe of an acid acceptor such as sodiiun or potassium carbonate, sodium bicarbonate, triethylamine or pyridine, and in a suitable organic solvent, e.g. aoetonitrile, at up to the reflux t:~perature.
Reaction temperatures of 60-120°C are generally desirable and it is most convenient to carry out the reaction under reflux. Iodo is generally the most suitable leaving group but since the 20~2~'~~

starting materials (III) are generally most conveniently available as chlorides or bn~nides, the reaction is often most suitably carried out using the oomp~.u~d (III) as a chloride or brnanide but in the presence of an iodide such as sodiiun or patassimn iodide.
In the preferred technique, the oa~o~u~ds ( II ) and ( III ) , ( III ) being in broanide or rhl.oride form, are refluxed together in aoetonitrile in the presence of sodimn carbonate arxi sodiiun iodide. The product.(I) can be isolated and purified conventionally.
The starting materials of the foznaila (II) can be obtained by conventional pzrocures such as those described in the Preparations below. The starting materials of the forna~la (III) are in general )down ca~o~u~ds which can be prepared by conventional techniques.
The preparation of the novel starting materials of the foraa~la (III) used in the F~les is described in the following Preparations section.
Route B
Zhi.s route is useful for preparing ooc~ounds in which n is 2 and R3 is 2- or 4-pyridyl or pyrazinyl and can be described as follvws:-i i ~2 \ X = A - H + CHZ CH / ~R1\ X - A - CH2CH2 \N 2 / ~N
K
or R~ j X~- A - H + CEiz=CH i ~ ~ R1j ~ - A _ CH2CH2 ~ N
R yN, R2 ~N

WO 91/10651 PCT/EP90/0~'262 Rl, R2, A and X are as defined for formula (I). Clearly the vinyl group ~ be attached to the 2- or 4 position of the pyridine ring.
The reaction is typically carried out with heating at up to 160°C, preferably 80° to 140°C, in a suitable organic solvent, e.g. 1-butarwl. Zhe use of a basic (preferably a strong base which is soluble in an organic solvent such as N benzyltrimethyl-ammonium hydroxide ["Triton B"- Trade Mark] or acidic (preferably a C1-C4 alkanoic acid) catalyst is useful. The preferred procedure is to reflux the reactants in an organic solvent in the presence of a basic catalyst such as "Triton B".
Route C
This mite may be used when R1 and R2 are phenyl arxi X is ~ C(OH)- aryl may be illustrated as follows:
RO-0D-A- ( CEi2 ) l, R3 ---~ C7a~o~u~ds ( I
1~
wherein R is a Cl-C4 alkyl grrx~ suds as ethyl. In this pr~ooess a carboxylate of the appropriate piperidine or pyrrolidine derivative is allaa~ed to react with eacce~ss phenyllithium to convert the lm-OD- grad to a Ph2C(OH)- gr~. Zhe reaction may be conducted by the llithium to the carboxylate in a suitable solvent such as diethyl ether at low t~erature, allaaing the mixture to warm to r~oo~n t~erature, quenching the re~nainirx~ phenyllithium with water and extracting the desired c~ound of forna~la (I) with a suitable organic solvent. The cartoxylate starting c~ounds may be prepared as described in the Preparations below.

~0"~257~
Zhe selectivity of the c~auxls as muscarinic receptor antagonists can be measured as follows.
Male guinea pigs are sacrificed and the ileum, trachea, bladder and right atrium are removed and susperyded in physiological salt solution under a resting tension of 1 g at 32°C
aerated with 95%. y~ and 5% C~2 . C~tractions of the ileum, bladder and-t~a~hea are recorded using an isotonic (ileum) or isometric transducer (bladder arid trachea). The frequency of contraction of the spontaneously beating right atrium is derived frarn iscenetrically recorded contractions.
Dose-response curves to either aoetylcholine (ileum) or carbachol (tracW ea, bladder arr3 right atrimn) are determined using a 1-5 minute vontact time for each dose of ag~ist until the maxinn.un response is achieved. Zhe organ bath is drained arxi refilled with physiological salt solution containing the lowest dose of the test oa~ouryd. 'Ihe test found is allowed to equilibrate with the tissue for 20 minutes and the agonist dose-response curve is repeated until the ma~~ response is obtained. Zhe organ bath is drained and refilled with physiological salt solution containing the second concentration of test compound and the above procedure is repeated. Typically four concentrations of the test oc~ound are evaluated on each tissue.
The concentration of the test cc~air~d which causes a doubling of the agonist conoentrat_;~n required to prnduoe the original response is determined (pA2 value - Axvnlakshana aril Schild (1959), Brit. J. Pharmaool., 14, 48-58). Using the above analytical techniques, tissue selectivity for rinic receptor antagonists is determined.

Activity against agonist induced broaxhooonstriction, gut or bladder contractility in comparison with changes in heart rate is determined in the anaesthetised dog. Oral activity is assessed in the conscious dog determining vompound effects on, for example, heart rate, pupil diameter arxi gut motility.
affinity for other cholinergic sites is assessed in the mouse on either intravenous or intraperitoneal administration.
Thus, the dose to cause a doubling of pupil size is determined as well as the dose to inhibit by 50% the salivation and tremor responses to intravenous oxotremorine.
For administration to man in the curative or prophylactic treatment of diseases associated with the altered motility and/or tone of smooth neuscle, such as irritable bowel syndrome, diverticular disease, urinary ino~tinenoe, oesoQhageal achalasia and d~ronic obstructive airways disease, oral dosages of the oc~on~nds will generally be in the range of frcm 3.5 to 350 mg daily for any average adult patient (70 kg). Thus for a typical adult patient, irxiividual tablets or capsules will typically contain frcen 1 to 250 mg of active oa~x~nd, in a suitable oeutically acceptable vehicle or carrier for adnunistration singly or in aoultiple doses, oa~~oe or several times a day. Dosages for intravenous ac~ministratioa~ will typically be within the range 0.35 to 35 mg per single dose as required. In practice the physician will determine the actual dosage which will be most suitable for an individual patient and it will vary with age, weight and response of the particular patient. The above dosages are exemplary of the average case but there can, of course, be individual instances where higher or lower dosage ranges are merited, and such are within the scope of this invention.
For human use, the compounds of the formula (I) can be administered alone, but will generally be administered in achnixture with a pharmaceutical carrier selected with regard to the intended route of administration arxi starr3ard pharmaceutical practice. For example, they may be ac~ninistered orally in the form of tablets containing such excipients as starch or lactose, or in capsules or ovules either alone or in ac~ixture with excipients, or in the form of elixirs or suspensions containing flavouring or colouring agents. They may be injected parenterally, for example, intravenously, in~arly or subcutaneously. For parenteral administration, they are best used in the form of a sterile aqueous solution which may contain other substar~s, for example, enough salts or glucose to ~ the solution isotonic with blood.
In a further aspect the invention provides a pd~armaoeutical coition oc~rising a ocanpound of the formula (I) , or a pharmaceutically acceptable salt thereof, together with a pharmaceutically acceptable diluent or carrier.
The invention also includes a oc~au~d of the formula (I) or a pharnaoeutically aoc~table salt thereof, for use as a medicament, particularly for use in the treatment of irritable bowel syr~drrxne .
The invention further includes the use of a compound of the formula (I), or of a p~~armaceutically acceptable salt thereof, for the manufacture of a medicament for the treatment of diseases associated with the altered motility atxi/or tone of smooth ale, such as irritable bowel syndrome, diverticular disease, urinary in~ntinence, oesophageal achalasia arxi chronic a~structive airways disease.
The following E~les, in which all t~peratures are in °C, illustrate the invention.

Pr~526 c 2072575 Ele 1 1-[(2-(2,3-Dihydro-5-benzofuranyl)ethyl]-3-(diphenylhydroxy-methyl) piperidine A mixture of 3-(diphenylhydroxymethyl)piperidine (135 mg, 0.50 mmol) (see J. Org. Chem., 4084, 26, 1961 for preparation), 5-(2-bramoethyl)-2,3-dihydrobenzofuran (115 mg, 0.50 au~ol), sodimn carbonate (0.50 g) aryl sodium iodide (50 mg) in acetonitrile (20 ml) was heated under reflux for 16 hours, filtered and evaporated.
The residue was partitioned between ethyl acetate and water and the organic layer was washed with water, dried over magnesium sulphate and evaporated. the residue was purified by chromatography on Si02 (6 g) using dichlorcanethane plus 0-20%
ethyl acetate as eluant. Appropriate fractions were combined and evaporated to give the title (110 mg) as a colourless oil which was characterised as a hemihydrate.
Analysis °s : -Found: C,79.7: H,7.5; N,3.1;
C28~1~2'0'~ requires: C,79.6; H,7.6; N,3.3.
ales 2-9 The c,~rg~ounds of Table 1 were prepared by the method of ale 1 by reacting the appropriate piperidine derivative with the appropriate alkylating agent Q(C~i2)ri 3 and were obtained in the form shown. Zhe starting materials for ales 4 and 5 were each used as their hydrochloride salts.
Table 1 t' h ~
Y
/ .~-(CH ) ~3 Ph ~ 2 n ~~ ~a:~ ,... ..,.; A n . ~
.~ .~, ~

~ Zp72575 d' M N ri ~Y ~fl l~
f'1 C'7 C7 ('7 (''7 P7 M f'7 x U

N ~
01 ri O d' 01 00 C'1 M
.r., r-I rl 41 l0 O N
l0 l0 lf1 l~ r~ rl ri r1 v ~r U ~U
a~
I
N

1~
v p N
E~
N N N N
L
O' f~
O~p O"O
0 0 ~ ~ \
\ i 0 0~ 0 \ \
~.r N
O - U O - ~ U
/ \ ~ ~ / \
a~
f ~rn. '~, i H n N M ~' ~ _ , -~ "-~ ~~:' ~ ~ J j =i ; ; . _ .,",~ t-s 1' '~ ~, 14 r 2072575 M d' d' LCl ("'7 ("7 111 ('7 +~ z x U
N .~
00 (~ 00 N O O O rl r~
~ c~ x .'., o, o _. ~o ~ ~"~ ~ r o0 v v v v U U
+~ ~--i Qr N ~ ~O
O O W
N N N .-1 i. L ~ U
p' _ x O
N
x M
I
cu N
Z
U
-U O-U O - cv O- U
/ \ ~\ ~ \
a~
.o c~ m o.
.,, ~'.,J',,:7;~'t~T ;'% f.~_.s ..~,~y ,'.~,'~y~

a 69387-168 Example 10 3- (Diphenylhydroxymethyl) -1- [2- (2-pyridyl ) ethyl ] piperidine A mixture of 3-(diphenylhydroxymethyl)piperidine (267 mg, 1.0 mmol), 2-vinylpyridine (0.32 g, 3.0 mmol) and Triton B (3 drops) in 1-butanol (10 ml) was heated under reflux for 18 hours, diluted with water and ethyl acetate and the layers separated. The organic layer was washed with water, dried over magnesium sulphate and evaporated. The residue was twice taken up in toluene and evaporated and it was then purified by chromatography on SiOz using dichloromethane plus 0-5% methanol as eluant. Appropriate fractions were combined and evaporated to give the title compound (80 mg) as a pale brown oil which was characterised containing 0.25 equivalents of water.
Analysis %:-Found: C,79.7; H,7.4; N,7.4;
CzsHzaNzO . O. 25Hz0 requires : C, 79 . 7 ; H, 7 . 6 ; N, 7 . 4 .
Example 11 1- [2- (2, 3-Dihydro-5-benzofuranyl) ethyl] -4- (2, 2-diphenyl-2-hydroxyethyl)piperidine A 1.9 M solution of phenyllithium (1.0 ml, 1.9 mmol) was added dropwise over 10 minutes to a stirred solution of ethyl 1-[2-(2,3-dihydro-5-benzofuranyl)ethyl]piperidine-4-acetate (130 mg, 0.40 mmol) in ether (10 ml) with cooling in an acetone/COz bath. The mixture was stirred at -70°C for 1 hour, allowed to warm to room temperature and stirred for 16 hours.
The mixture was quenched cautiously with water and extracted into ethyl acetate.

2 0'7 2. ~'~

The ethyl acetate extract was washed with water, dried over magnesiwn sulphate arid evaporated. The residue was purified by c~rcanatography on Si02 using dichloroenethane plus 20% ethyl acetate plus 0-5% methanol as eluant. Appropriate fractions were oo~nbined arri evaporated to give the title ocetg~ound (100 mg) as a colourless foam which was characterised as a hemihydrate.
Analysis %:-Fa~.u~d: C, 79.7; H, 7.7: N, 3.5;
t .
C29-332' 0. 5H''~Q~'i~uires: C, 79.8; H, 7. 8; N, 3 . 2.
.k.
F~mple 12 4-(2,2-Dinhenyl-2 hydroxy)ethyl-1-(3 4 methylenedioxybenzvl)-piperidine The title found was prepared by the method of ale 11 by reacting phenyl l ithiiun with ethyl 1- ( 3 , 4 ~nethylenedioxybenzyl ) -piperidine-4-acetate. The title o~nd was obtained as a oolo~urless solid, m.p. 142-145°C, which was characterised containing 0.25 equivalents of water.
Analysis % : -F~= C,77.2; H,7.1: N,3.2;
C2.~9N03Ø25H20 requires: C,77.2; H,7.0; N,3.3.

WO 91/10651 PCT/EP90/0~262 20725'75 l~le 13 3-(Di~envlhydiro~xvmethyl)-1-(4~nethoxvahenethvl)piperidine The title ca~~ was prepared by the method of F~an~le 11 by reacting phenyllithium with ethyl 1-(4 methoxyphenethyl)-piperidine-3-carboxylate. The title ocm~~.uid was obtained as a colourless oil.
Analysis %:-Fourxi: C, 80. 3 ~ H, 7. 7; N, 3 . 5;
C27-312 ~~: C, 80. 8 : H, 7 . 8 : N, 3 . 5.
Ile 14 3-(2,2-Dit~henyl-1-ethenyl)-1-(3 4 methylenediox~henethyl)-pineridine Hydrochloride A solution of 3-(2,2-Biphenyl-2~ydroxyethyl)-1-(3,4 methylenedio3cyphenethyl)piperidine hydrate (162mg) (ale 3) in 2M hydrndiloric acid (4.5m1) was heated at 100°C for 30 minutes and evaporated to give the title oa~omd as a colourless foam (165mg, 98%), which was cW aracterised as a hydrate.
Analysis %:-Found: C, 72.4; H, 6.7; N, 3.0;
C28~9~2'HC1.H20 requires: C, 72.2: H, 6.9: N, 3Ø

;: 207 257 5 Ele 15 3-(2,2-Diphenylethyl)-1-(3,4-methylenedioxyphenethyl)-pineridine H
N o' 2 Ph2C=CH
~o Pd/C
.HC1 EtoH
l N o Ph2CHCH2 A solution of 3-(2,2-Biphenyl-1-ethenyl)-1-(3,4-methylenedioxyphenethyl)piperidine hydrochloride (135mg) (ale 14) in EtOH (20m1) Was stirred at 40°C under a hydrogen atmosphere of 45 psi in the presence of 10% palladi~n on charcoal.
The mixture was filtered and the filtrate evaporated. The residue was partitioned between dichlorotnethane and 2M aqueous sodiiun hydroxide solution and the ozgan.ic layer was dried over sodiiun sulphate and evaporated. The residue was purified by chromatography on silica using dichlorcsnethane plus 2.5% methanol as eluant. Appropriate fractions were combined and evaporated to give the title compound as a colourless oil (60mg, 50%) which was characterised as a hemihydrate.
Analysis %:-Found: C, 79.7; H, 7.4~ N, 3.2;
C28H31~2'0'~2C rte: C, 79.6; H, 7.6; N, 3.3.
. , w:,~ ;

19 20'~~5~75 Preparation 1 3-Dinhenvlmethylenenipexidine Hydrochloride A miscture of 3-(dipt~enylhydroatymethyl)piperidine (801 mg, 3.0 mmol) and 2M hydrod~loric acid (12 ml) was stirred at 100°C for 2 hors and evaporated. Zhe residue was triturated with toluene and recrystallised frctn methanol to give the title cca~ound (730 mg) as a colourless solid, m.p. 236-237°C.
Analysis %:-C,75.3; H,7.1; N,4.6;
C18H19N.HC1 re~qui.res: C,75.6; H,7.0; N,4.9.
Preparation 2 3-Dinherrvlmethvlpi~eridine Hvtt~i oride A solution of 3-diphenylmethylenepiperidine hydrochloride (200 mg, 0.7 nunol) in ethanol (40 ml) was stirred under one atr~~sphere of hydrogen at 40°C in the presence of 10% palladiiun on charcoal (20 mg) for 24 hours and filtered. Zhe filtrate was conaentrated to give the title ooa~otu~d (200 mg) as a pale brrxun gmn which was cdzaracterised by its 11i~ specanam.
I~2 (d6-~O) d =8.7-9.1(lH,braad s), 7.0-7.45(lOH,m), 2.4-3.8(4H,m), 1.4-1.8(4H,m) and 1.0-1.25(2H,m).

20~ ~,5~ 5 Preparation 3 Ethyl 1-13,4 methylenedioxybenzyl)piperidine-4-acetate A mixture of ethyl piperidine-4-acetate (0.34 g, 2.0 mmol), 3,4 methylenedioxybenzyl chloride (0.34 g, 2.0 mmol), sodium carbonate (1.0 g) arid sodium iodide (0.10 g) in acetonitrile (30 ml) was heated under reflux for 16 ham arxi evaporated. The residue was partitioned between ethyl acetate and water aryl the orgariic layer was washed with water, dried over magnesium sulphate and evaporated. The residue was purified by chraanatography on Si02 using dirhlornanethane-plus 0-20% ethyl acetate as eluant.
Appropriate fractions were ooanbined and evaporated to give the title c~und (0.52 g) as a colourless oil which was characterised by its ~~ .
~I-I~ZN1R (C~C13 ) d = 6. 87 ( 1H, s) , 6. 77 (2H, s) , 5. 97 (2H, s) , 4.13(2H,q,J=7Hz), 3.41(2H,s), 2.94(2H,d,J~Hz), 2.23(2H,d,J~Hz), 1.6-2.05(5H,m), 1.2-1.45(2H,m) and 1.25(3H,t,J=7Hz).
Preparation 4 Ethvl 1- f 2- ( 2 , 3 ~iihvdro-5~enzofuranvl ) ethyl 1 pix~eridine-4-acetate This ooh was prepared as described in Preparation 3 but using 5- ( 2-broa~aethyl ) -2 , 3 ~lihydmbenzofuran instead of 3 , 4-methylenedioxybenzyl chloride. The title compo~u~d was obtained as a colourless oil which was characterised by its ~ ~ ~' I~tR (CDC13) b = 7.08(lH,s), 6.95(lH,d,J=SHz), 6.74(2H,d,J~Hz), 4.58(2H,t,J=7Hz), 4.16(2H,q,J=7Hz), 3.21(2H,t,J=7Hz), 3.03(2H,d,J=8Hz), 2.5-2.8(4H,m), 2.23(2H,d,J=4Hz), 2.04(2H,dt,J=8 and 1.5 Hz), 1.6-1.95(2H,m), 1.3-1.5(2H,m) and 1.25(3H,t,J=7Hz).

WO 91/10651 PCT/EP90/0~262 21 2 0 7 ~"~~-~,~
»epazation 5 3,4-Methylenedioxyphenethyl alcohol 3,4~ethylenedioxyphenylaoetic acid (18.0 g) was added portionwise over 30 minutes to a stirred, ioe-cooled suspension of lithium aluminium hydride (4.0 g) in ether (400 ml) and the mixture was stirnad at ~ temperature for twd hours, quenched by the cautious addition of saturated aqueous ammonium chloride solution and filtered. Zhe filtrate was washed with 10% aqueous sodium carbonate solution, dried over magnesium sulphate and evaporated to give the title oa~~ as a pale yellow oil (15.01 g, 90%), which was characterised by its ~ ~ ~.
lit (C~C13) 6 = 6.69-6.83 (3H,m); 5.98(2H,s); 3.82(2H,dt J = 7 arxi 6Hz); 2.81(2H,t,J = 7Hz) and 1.44(lH,t, J = 6Hz, exchangeable with D20).
Preparation 6 3,4-Methylenedioxyphenethyl braanide A solution of ptwsptmrus tribrc~nide (8.1 g) in carbon tetrachloride (50 ml) was added drq~ri.se over 30 minutes to a stirred solution of 3,4 methylenedioxyphenethyl alvo~twl (15.0 g) (see Preparation 5) in carbon tetrachloride (200 ml) and the mixt~u~e was heated under reflux for 3 hours, wsequentially with water (twice), 5M aqueous sodium hyd~~oxide solution and water, dried over magnesium sulphate and evaporated. 'Ihe residue was purified by ~tographY ~ silica (100 g) using carbon tetrachloride as the eluant. Appropriate fractions were ocenbined and evaporated to give the title ca~ound as a pale yellow oil (8.3 g, 40%) , which was characterised by its 1H-lit spectr~an.

2 0 7 2 ~'~' ~ ~ 22 ff~I-l~ll~lR ( CDC13 ) d = 6 . 80 ( 1H, d, J = 8Hz ) , 6 . 75 ( lFi, s) , 6.71(lH,d,J~Hz), 6.00(2H,s), 3.56(2H,t,J = 7Hz) arid 3.13 (2H,t,J
- 7H2).
Preparation 7 5-(2 Hydrnxyethyl)-2,3-dihydrn~benzofuran A solu~:~n of (2,3-dihydro-5-benzofu~anyl)acetic acid (4.9 g - see EP-A-132130) in anhydrous tetrahydtrofuran (50 ml) was added dropwise over 10 minutes to a stirred suspension of lithiiun ah~;niwn hydride (1.57 g) in anhydrous tetrahydrofuran (50 ml) at 0 ° C. ~e mi~cture was allowed to warm to roots t~exature and stirred for 1 hour. Water (1.5 ml) was cautiously added dropwise follo~~ad by 10% aqueous sodiiun hydroxide solution ( 1. 5 ml ) and water (4.5 ml). 'Ihe mixture was filtered and the inorganic salts were washed with ethyl acetate. Zhe filtrate and washir~gs were coanbined and evaporated to give the title oca~o~u~d as an oil, (3.3 g) , which was characterised by its ~~ sue.
I~t (CDC13) d = 7.10 (s,lH), 7.00 (d,lH), 6.75(m,lH), 4.65-4.55(m,2H), 3.90-3.75(m,2H), 3.30-3.15(m,2H), 2.90-2.80(m,2H) arr3 1.85-1.75(brs,lH).
Preparation 8 5-(2-Brnmoethyl)-2 3-dihydirobenzofuran Phosphorus trib~nide (0.37 g) was added to a solution of 5-(2 hydrnxyethyl)-2,3-dihydrobenzofuran (0.612 g) (Preparation 7) in carbon tetrachloride (3 ml) and the mixture heated under reflux for 3 h~ and partitioned between 10% aqueous sodiiun carbonate WO 91/10651 PCT/EP90/02~2 2~7~~57~
soluti~ (20 ml) and dirhlorcmethane (20 ml). The layers were separated and the aqueous layer was extracted with dichlorcxnethane. The combined dichlorcmethane extracts were dried (N1gS04) and evaporated to give the title (0.584 g) as an oil which crystallised on standing, m.p. 60-62°C, arxi which was characterised by its ~~
Nl~t (CDC13) b = 7.10(s,lH), 7.00-6.95(d,lH), 6.80-6.70(d,lH), 4.65-4.55(t,2H), 3.60-3.50(t,2H), 3.25-3.15(t,2H) aryl 3.15-3.10(t,2H).
Preparation 9 Ethyl 1-(4~nethoxyphenethvl)pit~eridine-3-carboxylate This oa~o~nd was prepared as described in Preparation 3 using ethyl piperidine-3~arboxylate arxi 4~netho~thy1 bromide as reagents. Zhe title was obtained as a colourless oil.
Analysis %:-g~: C,69.2; H,8.3; N,4.8:
C17H25~3 r'~'i rep: C, 70 .1: H, 8. 6: N, 4 . 8 .

The follaaing oo~o~u~ds may be prepared by methods described in the respective publications given belcxa:
3- (DlPhe~'lhY~~~Y1 ) P1P~'idine Journal of (h~ganic Chemistry, 4084, 26 (1961) .
3-(2,2~iiphenyl-2 hydroxy)ethyl British patent piperidine '.
Specification 765853.
Ethyl piperidine-4-acetate Journal of American Chemical Society, 6249, 75, (1953).

WO 91/10651 PCT/EP90/02~262 2 0'~,.~ ~'~ 5 ' It will be appreciated from the foregoing that what we will claim may include the following:-( 1 ) Zhe s of the fornnila ( I ) arxi p~harn~aoeutical ly acceptable salts thereof:
(2) Processes as de<saibed h~ex~ein for preparing the ends of the formula (I) and their salts:
(3) Pharmaceutical c~ositions comprising a end of the fornaila (I) or a pharmaceutically aooeptable salt thereof, and a pharmaceutically acceptable diluent or carrier:
( 4 ) Any novel intermediates de_saibed herein:
(5) A va~on~d of the formula (I), or a pharmaveutically acceptable salt thereof for use as a medicament.
(6) Zhe use of a oaa~ound of the fornula (I) , or of a pharmaveutically acceptable salt thereof, for the manufacture of a medicament for the treatment of diseases associated with the altered motility and,/or tone of smooth ~cle, such as irritable bowel syndrome, diverticular disease, urinazy incontinence, oesophageal aW alasia and chronic obstructive airways disease.

Claims

THE EMBODIMENTS OF THE INVENTION IN WHICH AN EXCLUSIVE
PROPERTY OR PRIVILEGE IS CLAIMED ARE DEFINED AS FOLLOWS:

1. A compound of the formula (I):

or a pharmaceutically acceptable salt thereof, wherein R1 and R2 are the same or different and each is phenyl which is unsubstituted or substituted by at least one group selected from C1-C4 alkyl and halo, the broken line represents an optional double bond and X is or when said double bond is absent or is when said double bond is present, X being attached to a carbon atom of A, A is when said double bold is absent or A is when said double bond is present n is from 1 to 3, m is 1 or 2, p is 0 or 1 , q is 0 or 1 R3 is or Het, R4 and R5 are each independently H, C1-C4 alkyl, C1-C4 alkoxy or (CH2)r OH wherein r is 0, 1 or 2, or R4 and R5 together form a -Y-(CH2)s-Z- group wherein Y and Z are independently -O- or -CH2- and s is 1, 2 or 3, and Het is thienyl, pyridyl or pyrazinyl, with the provisos that when g is 0 or A is then n is 2 or 3, and that when A is R3 is not Het.

2. A compound according to claim 1, in which R1 and R2 are both unsubstituted phenyl.

3. A compound according to claim 1, in which X is

4. A compound according to claim 2, in which X is

5. A compound according to claim 1, 2, 3 or 4, in which R3 is pyridyl, 2,3-dihydro-benzofuranyl, tolyl, methoxyphenyl, hydroxymethylphenyl or

6. A compound according to claim 5, in which R3 is 3,4-methylenedioxyphenyl.

7. 3-(Diphenylhydroxymethyl)-1-(3,4-methylenedioxy-phenethyl)piperidine or a pharmaceutically acceptable salt thereof.

8. A pharmaceutical composition comprising a compound as claimed in any one of claims 1 to 4, 6 and 7 and a pharmaceutically acceptable diluent or carrier.

9. A pharmaceutical composition comprising a compound as claimed in claim 5 and a pharmaceutically acceptable diluent or carrier.

10. A compound according to any one of claims 1 to 4, 6 and 7 for use in medicine.

11. A compound according to claim 5 for use in medicine.

12. Use of a compound according to any one of claims 1 to 4, 6 and 7 for making a medicament for use in treating diseases associated with altered motility and/or tone of smooth muscle.

13. Use of a compound according to any one of claims 1 to 4, 6 and 7 for use in treating diseases associated with altered motility and/or tone of smooth muscle.

14. A method of making a compound of the formula (I):

or a pharmaceutically acceptable salt thereof, wherein R1 and R2 are the same or different and each is phenyl which is unsubstituted or substituted by at least one group selected from C1-C4 and halo, the broken line represents an optional double bond and X is or when said double bond is absent or is when said double bond is present, X being attached to a carbon atom of A, A is when said double bond is absent or A is when said double bond is present n is from 1 to 3, m is 1 or 2, p is 0 or 1, q is 0 or 1 R3 is or Het, R4 and R5 are each independently H, C1-C4 alkyl, C1-C4 alkoxy or (CH2)r OH wherein r s 0, 1 or 2, or R4 and R5 together form a -Y-(CH2)s-Z- group wherein Y and Z are independently -O- or -CH2- and is 1, 2 or 3, and Het is thienyl, pyridyl or pyrazinyl, with the provisos that when q is O or A is then n is 2 or 3, and that when A is then R3 is not Het.
in which either i) a compound of formula (II) wherein H is attached to the nitrogen atom of A is caused to react with a compound of formula Q (CH2)n R3 to yield a compound of formula (I) wherein R1, R2, X, A, the broken line, n and R3 are as defined above and Q is a leaving group, or 11) a compound of formula (II) as defined above is caused to react with 2- or 4-vinylpyridine or vinylpyrazine to yield a compound of formula (I) in which n is 2 and R3 is 2- or 4-pyridyl or pyrazinyl or iii) a compound of formula RO-CO-A-(CH2)n-R3 wherein A, n and R3 are as defined above and R is a C1-C4 alkyl group is allowed to react with phenyllithium to yield a compound of formula (I) in which R1 and R2 are both phenyl and X
is .

15. A method according to claim 14 alternative i) in which leaving group Q is Br, C1, I, C1-C4 alkanesulphonyloxy, benzenesulphonyloxy, toluenesulphonyloxy or trifluoromethanesulphonyloxy.

16. A method according to claim 15, in which the reaction is carried out in the presence of an acid acceptor.

17. A method according to claim 14 alternative 11) in which the reaction is carried out in the presence of an acidic or basic catalyst.

18. A method according to any one of claims 14 to 17, in which R1 and R2 are both unsubstituted phenyl.

19. A method according to any one of claims 14 to 17, in which X is .

20. A method according to any one of claims 14 to 17 in which R3 is pyridyl, 2,3-dihydrobenzofuranyl, tolyl, methoxyphenyl, or hydroxymethylphenyl.

21. A method according to any one of claims 14 to 17 in which R3 is 3,4-methylenedioxyphenyl.

22. A method according to any one of claims 14 to 17 in which R1 and R2 are both unsubstituted phenyl, X is A is where q = O and R3 is wherein R4 and R5 together form a -Y-(CH2)s-Z- wherein Y and Z are both O, and s=1.

23. A method according to claims 14 i) or 16, in which the compound 3-(diphenylhydroxymethyl)-1-(3,4-methylenedioxy-phenethyl) piperidine is made by reaction of 3-(diphenyl hydroxymethyl)piperidine with a compound of formula QCH2CH2R3 wherein Q is a leaving group, and

24. A method according to claim 14 iii) in which the compound 3-(diphenylhydroxymethyl)-1-(3,4-methylene dioxyphenethyl)piperdine is made by reaction of a C1-C4 alkyl ester of 3-carboxy-1-(3,4-methylenedioxyphenethyl)piperidine with phenylithium.